Case Manager– Royal Buffalo Specialist Hospital, East London

Business Unit:

Royal Buffalo Specialist Hospital

Location: Eastern Cape, East London

Description A vacancy exists for a

Case Manager , reporting to the

Patient Administration Manager . The position’s primary responsibilities include efficient patient case management and the delivery of an efficient and professional service to the internal and external customers. The successful candidate will be goal oriented with strong customer, quality, and performance focus.

Critical Outputs

Carry out clinical coding in accordance with CPT and ICD requirements

Ensure that pre-admission and pre-authorisation information is accurate and in accordance with hospital and funder procedures.

Maintain patients’ clinical status in accordance with funder approval requirements for the duration of hospitalization; keeping patients informed and managing the entire hospital stays’ financial risk

Provide complete and accurate updates and discharge information of all accounts

Maintaining accurate accounts of all admissions

Handle patient files in accordance with hospital procedures

Timeous electronic submission of accounts and follow up on short payments arising from case management related issues.

Ensure the adherence of hospital staff to funder rules and coding procedures

Keep well informed on legislation pertaining to funders and related Health Care matters

Requirements

SANC registration as an RN

High school matric certificate

3– 5 years’ experience of basic finance and Medical Aid administration procedures will be an advantage

Knowledge of hospital billing and tariffs would be an advantage.

Have sound computer literacy skills and working knowledge of MS office, word and excel.

Excellent communication skills and the ability to form and build strong partnerships

Excellent negotiation skills&the ability to interact with tact and diplomacy

Collaboration/ Relationship Building

Problem-solving, analysis and judgement

Resilience

Verbal&written communication and presentation skills

Organisational awareness

Excellence and quality orientation

Ethical behaviour

Decision making

Departments: Admin, Finance

Royal Buffalo Specialist Hospital is an equal opportunity employer, external candidates will also be considered. Only shortlisted candidates will be contacted, should you not receive any communication after 2 weeks of closing date kindly consider your application as unsuccessful.

#J-18808-Ljbffr